A neurovascular complication after scapulothoracic arthrodesis

Area of Science:

• Orthopedic surgery
• Musculoskeletal disorders
• Neuromuscular diseases

Background:

• Facioscapulohumeral muscular dystrophy (FSHD) causes progressive muscle weakness, notably affecting scapular stabilizers.
• Scapular instability in FSHD leads to shoulder dysfunction and limited range of motion.
• Scapulothoracic arthrodesis is a surgical option to stabilize the scapula and enhance shoulder function.

Purpose of the Study:

• To review a specific neurovascular complication following scapulothoracic arthrodesis in FSHD patients.
• To emphasize the importance of precise scapular positioning during the procedure.
• To highlight the efficacy of immediate repositioning and intraoperative monitoring.

Main Methods:

• Case review of patients undergoing scapulothoracic arthrodesis for FSHD.
• Analysis of a neurovascular complication related to scapular positioning.
• Evaluation of outcomes following immediate surgical repositioning and long-term follow-up.

Main Results:

• A neurovascular complication occurred despite following established scapular positioning guidelines.
• Immediate repositioning of the scapula led to an excellent long-term outcome.
• Intraoperative neurovascular monitoring is essential for preventing such complications.

Conclusions:

• Scapular positioning guidelines for arthrodesis should be considered flexible.
• Prompt recognition and management of neurovascular complications are critical for favorable outcomes.
• Intraoperative monitoring is paramount to ensure patient safety during scapulothoracic arthrodesis in FSHD.